Individual provider Active NPI

Enrique Vera Tudela

  • Neurology Physician
  • Lakewood, CO
National Provider Identifier
1699335919
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DR.0072234 Issued in CO
Practice address
11750 W 2ND PL
Lakewood, CO 80228-1575
Phone
(720) 321-8040
Fax
(720) 321-8041
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X W2136 TX
Neurology Physician 2084N0400X DR.0072234 CO Primary
Neurology Physician 2084N0400X R3149 AZ

Addresses

Primary practice location

11750 W 2ND PL
Lakewood, CO 80228-1575

Mailing address

11750 W 2ND PL Ste 255
Lakewood, CO 80228-1726
Phone (720) 321-8040

Other practice location 1

910 E Houston St Ste 330
Tyler, TX 75702-8368
Phone (903) 606-7955

Other practice location 2

5802 Saratoga Blvd Ste 130
Corpus Christi, TX 78414-4252
Phone (361) 696-6203

Other practice location 3

11215 Metro Pwky
Ste 1 Bldg 3
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230000146 TX Practitioner - Neurology 1052646718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

5802 Saratoga Blvd
Suite 130
Corpus Christi, TX 78414-4252
Phone (361) 696-6203

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R3149AZMDNeurology Physician
W2136TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 2, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 2, 2026 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

5802 Saratoga Blvd
Ste 130
Corpus Christi, TX 78414
Phone (361) 696-6200

910 E Houston St
Ste 330
Tyler, TX 75702
Phone (903) 510-8718

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1699335919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 W 2ND PL STE 255",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281726",
            "telephone_number": "720-321-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 W 2ND PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281575",
            "telephone_number": "720-321-8040",
            "fax_number": "720-321-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E Houston St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028368",
            "country_code": "US",
            "telephone_number": "903-606-7955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5802 Saratoga Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144252",
            "country_code": "US",
            "telephone_number": "361-696-6203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11215 Metro Pwky",
            "address_2": "Ste 1 Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661206",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERA TUDELA",
        "first_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "W2136",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0072234",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "R3149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.